How much rates vary
Facilitymedian $51 · 10th to 90th $37 to $60Professionalmedian $33 · 10th to 90th $11 to $36
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $17.38 Median $36.31 Typical High $36.31 | Professional | None | $17.38 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $8.71 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $3.47 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $27.54 Typical High $27.54 | Professional | 54 · Surgery only | $13.18 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $5.50 Typical High $5.50 | Professional | 55 · Aftercare only | $2.63 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $1.74 | $3.63 | $3.63 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $60.26 | Facility | None | $37.15 | $51.29 | $60.26 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $25.12 | Professional | None | $17.38 | $17.38 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $9.77 Median $12.88 Typical High $20.42 | Professional | None | $9.77 | $12.88 | $20.42 |
Where Rhode Island sits
The same service costs 3.5 times more in Rhode Island than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Rhode Island· 1st of 51
$36.31
RI $36.31NY $10.23
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.